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New Brunswick Offer To Lease Form

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A. T. M. J. PROPERTIES INC. - OFFER TO LEASE PLEASE PRINT BUILDING ADDRESS_______________________________________________________________APT or Unit #__________________ POSSESSION DATE MONTHLY RENT $ SECURITY DEPOSIT $___________ APPLICANT Last Name: ________________________________First:______________________________Initials:______Birthdate:_________________ Present Address: ______________________________________________________________Tel. Res: ______________________________ Driver’s License: __________________ S.I.N.______________________ Tel. Cell: _____________________________ E-MAIL: ________________________________________ Marital Status: Single____ Married____ Divorced____ Separated____ Common-Law____ Widow____ Present landlord’s name/and or manager: ___________________________________________Tel. #:________________________________ Is the landlord aware you intend to move? _____________________How long have you lived there? ________________________________ Reason for moving__________________________________________________________________________________________________ Have you ever been convicted of a crime? Are you a smoker? Yes____ or Yes____ or No____ No_______ ----------------------------------------------------------------------------------------------------------------------------- ------------------------------------------ Car 1-Make: _____________________ Model: _____________________ Year: _______ License #:__________________ 2-Make: _____________________ Model: _____________________ License#:___________________ Year: _______ -------------------------------------------------------------------------------------------------------------------------------------- ------------------------------EMPLOYMENT STUDENT APPLICANT Current Employer: __________________________________________ Years as student: __________________________________ Occupation: ___________________________________________ Name of College/University: _________________________ Phone Number: ___________________________________________ Faculty: _________________________________________ Years Employed: ___________________________________________ Employment Income: ___________________________________________ Bank (Branch): ___________________________________________ _________________________________________ Parents Name and Address: _______________________________________________________________Tel#_______________________ ------------------------------------------------------------------------------------------------------------------ -------------------------------------------------------IT IS UNDERSTOOD THAT ONLY THOSE WHO ARE NAMED ABOVE WILL OCCUPY THE SUITE. NO PETS OR VISITING PETS WILL BE ON THE PREMISES. POST DATED CHEQUES ARE REQUIRED. THE STANDARD FORM OF LEASE FORM 6 (The Residential Tenancies Act, Acts of New Brunswick, 1975, c.R-10.2, s.9) WILL BE USED. I represent that all the above statements are true and complete and hereby consent to you obtaining factual or investigative information about me or to your procuring or causing to be prepared a credit or consumer report containing credit and personal information about me with respect to this application. Date: _____________________ Referred by: ____________________________ APPLICANT’S SIGNATURE ____________________________________ APPLICANT’S SIGNATURE Newspaper _______Internet ______Drive by ________Sign _______Tenant________ ` -------------------------------------------------------------------------------------------------------------------------------------------------------------------------OFFICE USE ONLY ACCEPTED/REJECTED BY__________________________________________________DATE__________________________________ _________________________________________________________________________________________________________________